Permit Support Document CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT a qq Permit#: ELC2020-00350
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 i VIS ,, 'F Date Issued: 7/13/2020
TIGARD Parcel: 2S108DB05700
t` ' tg' Jurisdiction: Tigard
Site address: 15372 SW SEINE DR
Project: Coiling Res Subdivision: POLYGON AT BULL MOUNTAIN Lot: 55
Project Description: Install panel in basement. Install circuit for future hot tub. Add wiring for basement bathroom. 10/19/20:
REPRINTED permit to include(1)branch circuit for mechanical ERV unit.
Contractor: FRAHLER ELECTRIC COMPANY Owner: COLLING, BRIAN &KIRSTEN
11860 SW GREENBURG RD 15372 SW SEINE DR
TIGARD, OR 97223 TIGARD, OR 97224
PHONE:
PHONE: 503-639-4627
FAX: 503-639-4673
FEES
Quantity Description Date Amount
1 ea Services or Feeders-200 07/13/2020 $100.70
Specifics: amps or less
3 crt Branch Circuits w/Purchase 07/13/2020 $22.26
Type of Use: SF Service or Feeder
Class of Work: ALT 1 ea 12%State Surcharge- 07/13/2020 $14.76
Electrical
Type of Const: 1 crt Branch Circuits w/Purchase 10/20/2020 $7.42
Occupancy Grp: Service or Feeder
0 ea 12%State Surcharge- 10/20/2020 $0.89
Electrical
Total $146.03
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through R 952-001-0090r. You may o y of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: • Permittee Signature: L�
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale,lease or rent.
OWNER'S SIGNATURE Date:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC' Date:
LICENSE NO.
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the Job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Electrical Permit Application FOR OFFICE LSE ONLY
City of Tigard f �, `°c.� �� RecDateived
a .�
, •• 13125 S W Hall Blvd.,Tigard,OR E` .---* —`''' plan Review
r� • Phone: 503.718.2439 Fax: 503.598.1960 Date/B : Related Permit#:
TIGARD Inspection Line: 503.639.4175 OCT 1 n 2020 Ready Date/By. runs: ® See Page 2 for
Internet www.tigard-or.gov Notified/Method: Supplemental Information
TYPE OF WORte '° ,1[ 'Ik 'if 1:..., 3 s4:11 :PI iL d 1'r '
❑ New construction ®Addition/alteratiomreplacement
Please check all that apply(submit 2 sets of plans w/items checked):
❑Service or feeder 400 amps or more ❑Building over three stories.
❑ D,mohtlon ❑Other: • where the available fault current 0 Marinas and boatyards.
CATEGORY OF CONST•T t, f;.r'4' n E exceeds 10,000 amps at 150 volts or ❑Floating buildings.
less to ground,or exceeds 14,000 0 Commercial-use agricultural
® 1-and 2-family dwelling ❑Commercial/indus' fi •ccessory b ilding
amps for all other installations, buildings.
❑Multi-family 0 Master builder am '. 0 Fire pump. 0 Installation of 150 KVA or
I! '""`t -_- !' - �" - "( „„�, ° ❑Emergency system. larger separately derived
"'"I`' '� � _ - �`" • r --�..,-.wa, 0 Addition of new motor load of system.
Job#:2351 Job site address:15372 SW Seine Dr. l00HP or more. ❑ A","E',`1-z, I-s°
❑Six or more residential units. occupancy.
City/State/ZIP:Tigard, OR 97224 ❑Health-care facilities. ❑Recreational vehicle parks.
Suite/bldg./apt.#: Project name:Coiling Res. ❑Hazardous locations. 0 Supply voltage for more than
❑Serviceor feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: 3 '{1l =t l= - : - i # L?
Description Qty. I Each Total •
New residential single-or multi-family dwelling unit.
Subdivision: Lot#: Includes attached garage.
map/parcel#:
1,000 sq.ft.or less 168.54 4
Tax ma
p pEa.add'I 500 sq.ft or portion 33.92 1
DESCRIPTION OF W ORIE `._, "
Limited energy,residential 75.00 2
ELC2020-00350. Add 1 circuit for a mechanical ERV unit. (with above sq.ft.)
Limited energy,multi-family 75.00 2
residential(with above sq.ft.)
. _ Renewable Energy 0 See Page 2
❑ PROPERTY OWNER `r gk's"&r
❑ TENANT ,:',-- Services or feeders installation,alteration,and/or relocation
Name: 200 amps or less 100.70 2
Address: 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP: 601 amps to 1,000 amps 301.04 2
Phone:( ) Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: relocation
Owner installation: This installation is being made on property that I own which is not 200 amps or less 59.36 I
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2
Owner signature: Date: 401 amps to 599 amps 168.54 2
❑ APPLICANT ❑ CONTACT PERSON ' Branch circuits—new,alteration,or extension,per panel
A,Fee for branch circuits with
Business name: above service or feeder fee,
each branch circuit 1 7.42 7.42 2
Contact name: B.Fee for branch circuits without
Address: service or feeder fee,first 56.18 2
branch circuit
City/State/ZIP: Each add'!branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:( ) Fax: :( ) Each manufactured or modular
dwelling,service and/or feeder 67.84 2
Email: Reconnect only 67.84 2
CONTRACTOR Pump or irrigation circle 67.84 2
Business name:JRA dba Frahler Electric Co Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy ❑ See Page 2 2
Address:11860 SW Greenburg Rd panel,alteration,or extension.
City/State/ZIP:Tigard, OR 97223 Each additional inspection over allowable in any of the above
9 Additional inspection(1 hr min) 66.25/hr
Phone:( 503 639-4627 Fax:( 503) 639-4673 Investigation(1 hr min) 90.00/hr
Industrial plant no 78.18/hr
Email:)ustin@frahlerelectric.corn
Inspections for which no fee is 90.00/hr
CCB Lic.:197172 Electrical Lic.:C861 Suprv.Lie.:5110s s cthcally listed 1/2hr min)
Suprv.Electrician signature,required: ,fQd �' 3
L 'ITi Subtotal:
Print name: Adam Etherington Date: 10/19/2020 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained within 180
Print name: Date: days after it has been accepted as complete.
• Number of inspections allowed per permit.
1:1Building'Permits1ELC PermitApp_ELR ERE.doc Rev 06/17/2015 440-4615T(1 I/05/COM/WED